| NPI | 1194023259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A118964) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A118964) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2019-11-06 |